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Other Health Insurance

Complete this form to notify your contractor that you have other health insurance (OHI). When you do, TRICARE is the second payer.

Download Form Submit To:

North OHI Questionnaire 

(En Español)

TRICARE North - OHI Questionnaires
P.O. Box 870159
Surfside Beach, SC 29587-9759 

South OHI Questionnaire 

(En Español)

Humana Military
P.O. Box 740061
Louisville, KY 40201-7461

Fax: 1-866-836-9535 

West OHI Questionnaire 

TRICARE West Region
Claims Department
P.O. Box 7064
Camden, SC 29020-7064

Overseas OHI Questionnaire 

(En Español)

TRICARE Overseas
P.O. Box 7992
Madison, WI 53707-7992 (USA) 

TRICARE For Life OHI Questionnaire

WPS/TRICARE For Life
P.O. Box 7889
Madison, WI 53707-7889 

Last Updated 5/28/2014